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Longer with same-day extractions, grafting or physically demanding work."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any complication needing extra care in year one, e.g. infection, mucositis, screw loosening, transient numbness."},"contraindications":["Uncontrolled diabetes or other uncontrolled systemic disease","Active oral infection or untreated periodontal disease (until treated)","Insufficient anterior mandibular bone without grafting or revised plan (relative)","IV bisphosphonate, denosumab or jaw radiotherapy (risk-dependent)","Heavy smoking or poor oral hygiene (relative)","Severe bruxism (relative)","Pregnancy (elective surgery usually deferred)","Anticoagulants or bleeding disorder without physician coordination (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Adult two-implant fixed hybrid under local anesthesia, outpatient. 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Check of healing and suture removal if non-resorbable sutures were used."}},{"purpose":"assessment","requirement":"routine","after":{"min":14,"max":30,"unit":"days","qualifier":"Reference event: surgery day. Bite and prosthesis check, with adjustments as needed."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Reference event: surgery day. 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Mild to moderate soreness and swelling for several days is typical and usually managed with ordinary analgesics as advised by the dentist.","preparation":["Clinical examination with panoramic X-ray or CBCT","Impressions and treatment planning, including implant positions and prosthesis design","Treatment of infection, decayed teeth or periodontal disease before surgery","Medical and medication review; coordinate with physician if needed","Assessment of ridge height, width and grafting need","Planning of immediate loading and provisional fixed prosthesis","Fasting usually unnecessary under local anesthesia; follow clinic instructions","Stop smoking before and after surgery where possible"],"recovery_timeline":[{"phase":"First days (days 0-3)","description":"Outpatient recovery at home. Swelling, mild to moderate soreness, bruising and minor oozing settle gradually. 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Prosthesis screws, acrylic and parts need periodic checks and repair.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Unplanned reoperation, implant removal or replacement, or prosthesis remake within about 5 years; routine maintenance excluded."},"scars":"No visible external scars. Small intraoral gum healing marks at the implant sites are possible.","sessions_or_stages":{"sessions":{"min":3,"max":5,"unit":"visits","qualifier":"Treatment appointments for one arch (planning, surgery, prosthetic stages), excluding routine follow-up checks."},"stages":[{"code":"planning","label":"Examination, imaging and planning","after":{"min":0,"max":0,"unit":"days","qualifier":"Reference event: initial visit."}},{"code":"implant_placement","label":"Placement of two implants with same-day provisional fixed hybrid","after":{"min":7,"max":30,"unit":"days","qualifier":"After planning and any preparatory treatment, such as treating infection."}},{"code":"definitive_prosthesis","label":"Impressions and fitting of definitive fixed hybrid prosthesis","after":{"min":90,"max":180,"unit":"days","qualifier":"After implant placement, once osseointegration is adequate; counted from the surgery day."}}],"qualifier":"One mandibular arch, two implants, screw-retained fixed hybrid prosthesis, outpatient. Grafting extends the timeline."},"success":{"metric":"Implant survival","value":92,"unit":"percent","horizon":"5 years after implant placement","population":"Adults with two-implant fixed hybrid, adequate bone, good hygiene.","evidence_status":"limited"},"techniques":[{"name":"Primary protocol: two-implant fixed hybrid with immediate loading","suits_whom":"Edentulous adults with enough anterior mandibular bone and adequate primary implant stability.","recovery":"Soft diet for several weeks, then normal diet after osseointegration. Prosthesis adjustments may be needed."},{"name":"Two-implant fixed hybrid with delayed loading","suits_whom":"Patients with lower primary stability or who need grafting or a longer healing period.","recovery":"Longer healing period of about 3-6 months before functional loading."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2.5,"unit":"hours","qualifier":"Surgical visit for two mandibular implants with provisional fixed connection; excludes planning, impressions and later visits."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","CBCT scan of the lower jaw (if available)","Photos of the mouth and gums","Photos of current dentures (if available)","List of blood thinners and bisphosphonates"],"travel_trips":{"min":2,"max":2,"one_trip_possible":false,"qualifier":"Surgery trip of about 3-7 days, then return after 3-6 months of healing for definitive fixed prosthesis."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=brazil/city=san-paulu/procedure=kombinirovannoe-protezirovanie-na-implantah-all-on-2/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":54028},"manualSeo":[],"updatedAt":"2026-10-31T22:15:06.000Z","activeCountries":["BR","TR","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}